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HomeMy WebLinkAbout928 W. Lauridsen Blvd. Address: 928 W Lauridsen Blvd. PREPARED 9/17/13, 13:26:27 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/17/13 -------------------- ADDRESS . : 928 W LAURIDSEN BLVD SUBDIV: CONTRACTOR AMERICA'S ELITE INC PHONE (360) 912-1412 OWNER JOHN/EVELYN WESTREM, TRUSTEES PHONE (360) 683-3414 PARCEL 06-30-09-5-0-0150-0000- APPL NUMBER: 13-00000980 COMM REPAIR ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 9/05/13 JLL BLDG FRAMING 9/05/13 AP September 5, 2013 11:05:35 AM jlierly. fred defrang September 5, 2013 3:50:33 PM jlierly. BL99 01 9/17/13 JL BLDG FINAL I. September 17, 2013 8:13:16 AM pbarthol Fred 460-0463 ------------------------- - ---------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES _ DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000980 Date 8/29/13 Application pin number . . . 142020 Property Address . . . . . . 928 W LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06-30-09-5-0-0150-0000- Application type description COMM REPAIR REPORT SALES TAX \yj Subdivision Name . . '. . . . on your state excise tax form I Property Use . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY to the City of Port Angeles` Application valuation 1200-------------------------------- 200 (Locc'i tion Code OSO2� rJ. -------------- �1 Application desc REPLACE ROTTED JOISTS AND RIM AS NEEDED ON BALCONY ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN/EVELYN WESTREM, TRUSTEES AMERICA'S ELITE INC WESTREM REV LIVING TRUST 370 RIVER ROAD 1006 E BALBOA BLVD SEQUIM WA 98382 NEWPORT BEACH CA 92661 (360) 912-1412 (360) 683-3414 - --------- --- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . REPLACE ROTTING RIM/JOISTS Permit Fee . . . . 71.35 Plan Check Fee 46.38 Issue Date . . . . 8/29/13 Valuation . . . . 1200 Expiration Date . . 2/25/14 Qty Unit Charge Per Extension BASE FEE 50.00 7.00 3.0500 HND BL-501-2K (3.05 PER C) 21.35 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 -------- Fee summary Charged Paid Credited Due - ---------------- ---------- ---------- ---------- ---------- Permit Fee Total 71.35 71.35 .00 .00 `_ Plan Check Total 46.38 46.38 .00 .00 VV Other Fee Total 4.50 4.50 .00 .00 Grand Total 122.23 122.23 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes i null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any-state-or-local law regulating construction or the performance of construction. 9 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water____ FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only)_ T-Bar INSULATION: :7 Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit BUILDING/PLUMBING/MECHANICAL PERMIT APPLICATION - LONG FORM (To be used for projects that require plan review.) Date Receiv� Permit# f City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5th St., Port Angeles, WA 98362 360-417-4815 fax: 360417-4711 Credit card payments are accepted Mon-Fri 8-5 pm (no America 'Express) Hours: Mon through Fri 8—5 pm Cash & checks are accepted Mon-Thurs 8:30-4 pm & Fri 8:30-12:30 pm Contact person: Phone: C7 Property owner: g r LI � v C vh 'J i '� h �(� U U vi ✓`vS I Phone: Property owner's mailing address:p 0 n 2�2 U 1 1J X 91 ^ WA qa Contractor's business name: ,r ejPj CO_& Cid�-� viz- Phone: or property owner's name if he/she is loin /overseein the work 3 "��� - Contractor's mailing add ess: 3 7 �i ve-v, Contractor's L&I license number: Expiration date: Project Address: Project Type: d Residential ® Commercial ®Industrialulti-family Project Business Name: Zoning: for commercial, industrial, or multi-family projects) Parcel# Lot# Complete.only the portions of this permit that are relevant to your project. (✓) Pay the plan check fee.(based on the valuation of the project) at the time of submittal 1 Residential PTjects submit: (✓) �_ Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable) (✓} Prescriptive Approach—Simple Form (confirming conformance to the Energy Code) Commercial Projects submit: (✓} Three sets of plans* (including engineering cales, geotech reports, etc. if applicable) (✓) Paperwork confirming conformance.to the Energy Code (✓) For large projects, a pre-construction meeting with various City department personnel is highly recommended, To schedule a pre-construction meeting, contact the Planning Manager at(360)417-4750. (✓) Additional information may need to be submitted including: landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities (existing& proposed), curbs, sidewalks, storm water.plan, etc. For Additions&New Structures also submit. (✓) Site plan (8 112"x 11") showing all structures(existing & proposed), setbacks, & new driveways *.If an architect or engineer drew the plans or calculations, include at least one"wet-stamped"set of-plans and/or calculations. T:FormsBuilding DivisionBuikiing/Plumbing/Mechanicai Permit Application—Long Form (Revised 2011) Page 1 of 4 i J Repair 1 Solar Panels 1 Miscellaneous: (explain the project) r. L fll • Project Valuation 1.2 22M CA-1- Remodel: (explain the project including how the building space is currently being used and what the new, remodeled use will bel Project Valuation $ w (✓) If the space will change from commercial to residential, submit; "Checklist—Converting Commercial Space into Residential Space" Addition: (explain the project and complete&submit page 3)_ Maximum height of the new addition feet ' Project Valuation $ New Structure: (exelain the proiect and complete&submit page 31 Maximum height of the new structure feet Project Valuation $ PLUMBING PERMIT: Will there be ANY plumbing changes (items moved, added, replaced, or altered) Check one: No Yes (✓) If yes, complete&submit page 4"Plumbing Changes" MECHANICAL PERMIT. Will there be ANYmechanical changes(items moved, added, replaced, or altered) Check one: No Yes (✓} -If yes, complete&submit page 4-"Mechanical Changes" Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths *Homeowner:. If you will be doing I overseeing the work, then the project valuation will.be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2= Project Valuation$ 1 have read and completed this application and know it to be true and correct I am authorized to apply for this permit and understand that it is my responsibi' het rmine— ennits are required, and to obtain pennits prior to working on projects. Date , Sign Print Name �� ' dY�� Page 2 of 4 .8/22/13 Clallam County Assessor&Treasurer-I Property Details-64312 JOHN AND EVELYN WESTREM TTES for Year 2012-2013 Account Property ID: 64312 Legal Description: BKL 1 TAX#8539 CROFTSADDN SUR V38 PG45 Geographic ID: 0630095001500000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 13 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 928 W LAURIDSEN BLVD Mapsco: PORT ANGELES,WA 98363 Neighborhood: PA West Multi-Unit Res Map ID: 2 Neighborhood CD: 5153500 Owner Name: JOHN AND EVELYN WESTREM TTES Owner ID: 59275 Mailing Address: PO BOX 2829 %Ownership: 100.0000000000% SEQUIM,WA 98382 Exemptions: websr\,6.ciallam.net/propertyaccess/Propertyaspx?cid=O&year=2012&prop_id=64312 1/1 _ FUT CITY OF PORT ANGLE` —�;ctte4>tssiiotl P The issuance of this permit h�=ed upon these p!an_, I 5- cations and other data s"-'+not present the building oific.4l ' t from thereafter requfr,g the corre� n of errors In 4 speclflcafths and Cry r^.U, t _ operationtg Ci i rel jf s - fir- /J _ c�r =4. .�•6 p .' A i`fir ®®®, g + 1: - i Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with LFII to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name AMERICA'S ELITE INC UBI No. 603219095 Phone 3609121412 Status Active Address 532 Vogt Rd License No. AMERIE1871 B8 Suite/Apt. License Type Construction Contractor City Port Angeles Effective Date 1/28/2013 State WA Expiration Date 1/28/2015 Zip 98362 Suspend Date County Clallam Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty Specialty Effective Expiration Status ' 1 2 Date Date OLYMPRI895BK OLYMPIC Construction General Unused 1/12/2011 1/12/2013 Out Of RESTORATIONS INC Contractor Business Business Owner Information Name Role Effective Date Expiration Date RYAN, SEAN jPresident 101/28/2013 Bond Information Bond Bond Account Effective Expiration Cancel Impaired Bond Received Bond Company .Number Date Date Date Date Amount Date Name 1 Wesco 46WBO14854 01/24/2013 Until Insurance Co Cancelled $12,000.00 01/28/2013 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Company Effective Expiration Cancel Impaired Amount Received Insurance Name Policy Number Date Date Date Date Date MESA 1 UNDERWRITERS MP0046003001368 01/24/2013 01/24/2014 $1,000,000.00 01/28/2013 SPECIALTY IN Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 8/29/2013 Verify Workers' Comp Premium Status - Account Information Page 1 of 2 doft Washington State Department of 4LJ dab©r & Industries Verify Workers'Comp Premium Status:Account Information Did you know... ...that under Washington State law',you may be liable for the unpaid workers'compensation (industrial insurance)premiums of any business you hire or contract with?(`See RCW51_t,_2_070) In the construction industry,you can protect yourself from liability for your subcontractor's unpaid premiums.Click here to see what you have_to do. L&I will track a contractor for you and tell you if their status changes. If this is a contractor whose premiums and license are current, a "Submit Contractor Tracking Request" link will appear in the certificate below. Click it to fill out a Tracking Request. If the contractor fails to pay workers' comp premiums or renew their contractor registration or if their electrical contractor license is suspended or revoked within one year of the start-date on your tracking request, L&I will send you a notification letter. Department of Labor and Industries Employer Liability Certificate Date: 08/29/2013 UBI#: 603 219 095--Check for active Department of Revenue tax account. Legal Business Name: AMERICAS ELITE INC Account#: 244,326-00 'Doing Business As'Name: AMERICAS ELITE INC Estimated Workers Reported: Quarter 2 of Year 2013"Less than 1 Workers" (See Description Below) Workers'Comp Premium Status: Account is current. Firm has voluntarily reported and paid their premiums. Licensed Contractor? Yes --..,Get contractor's license history. License: AMERIEI871B8 Expire Date: 1/28/2015 Submit Contractor_T_racking-Request here to be notified if this contractor's premium or license status changes during the next year. Risk Classification: Get risk classification information. Experience Factor: Get experience fac..tor history.. Account Representative: T4/TERRI MADISON (360)902-4654-Email: KIRT2350,lni.wa.gov What does "Estimated Workers Reported" mean? https://fortress.wa.gov/lni/crpsi/Aectlnfo.aspx?Accountld=24432600&Businessld=603219... 8/29/2013 Verify Workers' Comp Premium Status - Account Information Page 2 of 2 Estimated workers reported represents the number of full time position requiring at least 48o hours of work per calendar quarter.A single 48o hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates,limitations of coverage or waiver of subrogation (See RCW. 51.12.050 and 51.16.19.0..). ©Washington State Dept.of Labor 8 Industries. Use of this site is subject to the laws of the state of Washington. 1� a~5: t1 je.ltinaton` https://fortress.wa.gov/lni/crpsi/Acctlnfo.aspx?Accountld=24432600&Businessld=603219... 8/29/2013